中国动脉硬化杂志2012，Vol.20Issue(9)：819-823,5.
64层CT对缺血性脑血管病患者颈动脉粥样硬化斑块的研究
Study on the Carotid Atherosclerotic Plaque by 64 Slices CT in Patients with lschemic Cerebrovascular Disease
摘要
Abstract
Aim To explore the correlation between the clinical ischemic events and the character of carotid atherosclerotic plaque detected by computed tomography angiography { CTA), Methods 100 patients with carotid atherosclerosis were divided into ischemic event group (n =48) and non-ischemic event group (n = 52). The character of carotid atherosclerotic plaque was detected by 64 slices computed tomography (CT). Results 103 plaques were detected in ischemic event group, of which, the incidences of fatty plaque, calcified plaque and mixed plaque were 35.4% , 30. 1 % and 34.5% respectively. 78 plaques were detected in non-ischemie event group, of which, the incidences of fatty plaque, calcified plaque and mixed plaque were21. 8% , 51. 3% and26.9% respectively (P<0. 05). The proportion of mixed plaques, composed mainly by fatty plaque, was 64. 1% and 23. 8% respectively in ischemic event group and non-is-chemic event group (P < 0.01). The incidences of ulcerated plaques was significantly higher in ischemic event group (n =8) than that in non-ischemic event group (n=2)(P<0.05). Conclusions Characteristics of carotid atherosclerotic plaque can be accurately assessed by 64 slices CT. Patients with fatty plaques and mixed plaques composed mainly by fatty plaque are more likely to be symptomatic, compared to those with either calcified plaque.关键词
电子计算机X射线断层扫描/颈动脉/粥样硬化斑块/缺血性脑血管病Key words
Computed Tomography/ Ischemic CerebrovascuW Disease/ Carotid/ Atherosclerotic Plaque分类
医药卫生引用本文复制引用
王普清,王勇,王安平,曹治华,宋金辉,黄瓅,周佩洋,王守安..64层CT对缺血性脑血管病患者颈动脉粥样硬化斑块的研究[J].中国动脉硬化杂志,2012,20(9):819-823,5.基金项目
湖北省卫生厅基金项目(JX4B64) （JX4B64）
